Blueprint Winter 2022
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A publication for the policyholders of the Arkansas<br />
Blue Cross and Blue Shield family of companies WINTER <strong>2022</strong><br />
Start Strong in <strong>2022</strong><br />
Blue & You Fitness Challenge<br />
PAGE 7<br />
Mental Health First Aid<br />
in southeast Arkansas<br />
PAGE 4<br />
<strong>2022</strong> Blue & You<br />
Foundation Grants<br />
PAGE 8<br />
Understanding<br />
health disparities<br />
PAGE 10
a<br />
with Curtis Barnett<br />
Our President and Chief Executive Officer<br />
Building toward healthcare innovation<br />
In November, Arkansas Blue Cross<br />
and Blue Shield celebrated the grand<br />
opening of our new Northwest<br />
Arkansas Corporate Center in<br />
Springdale, Arkansas. It was a cold,<br />
rainy day, but just as we prepared to<br />
cut the ribbon, the sun started to shine.<br />
We were heartened to see so many of<br />
our friends and neighbors come out to<br />
join us and tour our new facility.<br />
Northwest Arkansas is the fastest<br />
growing area of our state. Our<br />
membership has grown substantially<br />
during the past few decades and as<br />
communities continue to expand there,<br />
we are looking forward to continuing<br />
to grow our presence in this region to<br />
meet needs close to home.<br />
Eventually, we will have about 300<br />
employees working in the new<br />
corporate center, representing a<br />
cross-section of our company’s<br />
overall operations. Arkansas<br />
2 WINTER <strong>2022</strong><br />
Blue Cross has had a presence in<br />
Northwest Arkansas for more than<br />
five decades and in 1994, grew<br />
our presence in Fayetteville by<br />
opening a full-service regional office<br />
providing customer service, medical<br />
management, provider relations and<br />
much more. And for many years,<br />
we have had a presence with our<br />
ArkansasBlue welcome centers, now<br />
located in Fayetteville and Rogers.<br />
But this commitment is not just about<br />
how we can do more in this region.<br />
It’s also about how we can do better<br />
overall for the overall health of our<br />
members and our state.<br />
We recognize that healthcare<br />
faces many challenges and that<br />
today’s solutions aren’t going to fix<br />
tomorrow’s problems. Innovation<br />
is drastically needed in healthcare<br />
delivery, technology, and business<br />
models. Northwest Arkansas has an<br />
incredible track record for innovation<br />
and accomplishment. This region<br />
has committed to innovating and<br />
developing into a major medical,<br />
health and wellness corridor, and<br />
we’re excited to play an integral role<br />
in that development.<br />
That said, we also recognize that<br />
healthcare innovation must be<br />
inclusive and accessible. The<br />
COVID-19 pandemic made clear that<br />
unless we address issues like health<br />
equity and access to behavioral<br />
health, we will never improve the<br />
whole health of all Arkansans.<br />
We consider it a privilege to serve so<br />
many Arkansans as their insurance<br />
company. Our mission will always<br />
be to improve the health, financial<br />
security and peace of mind of the<br />
members and communities we<br />
serve. Whether you live in Northwest<br />
Arkansas or anywhere else in our<br />
state, we are here for you.
Arkansas Blue Cross<br />
Opens New NWA<br />
Corporate Center<br />
With the quick snap of an evergreen garland,<br />
Northwest Arkansas dignitaries on November 3 helped<br />
Arkansas Blue Cross and Blue Shield celebrate the official<br />
opening of its new Northwest Arkansas Corporate Center<br />
in Springdale, marking a significant increase in our<br />
commitment to the region and its people.<br />
“This is an important milestone in our presence in<br />
Northwest Arkansas, which stretches back to the mid-<br />
1960s,” said Curtis Barnett, president and chief executive<br />
officer of Arkansas Blue Cross. “This part of our state<br />
has grown immensely in the past 55 years, and we are<br />
investing heavily in its future to help ensure it remains a<br />
vibrant, growing and healthy community.”<br />
Arkansas Blue Cross in Northwest Arkansas<br />
Arkansas Blue Cross has a large customer base in<br />
Northwest Arkansas that includes in-state individual<br />
and group policyholders and national accounts. We will<br />
maintain our corporate headquarters in Little Rock and<br />
continue to operate regional offices and ArkansasBlue<br />
welcome centers in Fayetteville, Fort Smith, Hot Springs,<br />
Jonesboro, Little Rock, Pine Bluff, Rogers and Texarkana.<br />
About Arkansas Blue Cross’ Northwest<br />
Arkansas Corporate Center<br />
The design of the Arkansas Blue Cross Northwest<br />
Arkansas Corporate Center can accommodate about<br />
300 employees. Architecturally, it incorporates many<br />
workplace best practices observed in the headquarters<br />
of leading organizations around the world.<br />
The building’s progressive features include:<br />
• Exterior glass “curtain walls” bringing in natural light<br />
and great views<br />
• A scenic outdoor space and pavilion area available<br />
to employees and nonprofit community groups for<br />
special events and employee gatherings<br />
• An Innovation Lab dedicated to finding solutions for<br />
more efficient and effective processes and health plans<br />
• Highly functional and flexible floor plans using<br />
moveable walls<br />
• High-tech meeting and presentation areas – including<br />
a large community room on the ground floor for use<br />
by nonprofit community groups, depending on<br />
availability.<br />
• Amenity-filled break areas<br />
• “Hoteling” workstations for visiting staff, clients<br />
and vendors<br />
A few noteworthy environment-conscious features include:<br />
• High-performance exterior glass that limits<br />
solar heat penetration<br />
• Low-VOC (volatile organic compounds)<br />
paints and coatings<br />
• Regionally sourced exterior stone, cut on site<br />
• Native, drought-tolerant landscaping<br />
• Automated, daylight-sensing, LED lighting<br />
• Interior finishes that contain recycled content<br />
• Automated, energy-efficient mechanical systems<br />
WINTER <strong>2022</strong> 3
First aid for the mind<br />
Blue & You Foundation grant targets mental health in southeast Arkansas<br />
Five years ago, Mellie Bridewell,<br />
president and CEO of the Arkansas<br />
Rural Health Partnership (ARHP),<br />
received what amounted to a cry<br />
for help. Medical professionals<br />
across the southeastern corner of<br />
Arkansas recognized the need to<br />
address mental health issues in<br />
their communities and reached out<br />
to Mellie and the ARHP.<br />
“We started hearing in 2016 that<br />
the hospitals wanted us to address<br />
mental health issues,” said Mellie.<br />
“So, we started moving in that<br />
direction.”<br />
With a shortage of mental health<br />
professionals in that part of<br />
the state, many people with<br />
mental health needs were going<br />
undiagnosed or waiting for long<br />
periods for adequate treatment –<br />
sometimes with catastrophic results.<br />
“If you come into the emergency<br />
room with chest pains, physicians<br />
can hook you up to a machine and<br />
diagnose you fairly quickly,” said<br />
Amanda Kuttenkuler, ARHP’s Mental<br />
Health Initiatives program director.<br />
“But with mental health issues,<br />
we don’t always know what to do.<br />
Even physicians were asking for<br />
resources.”<br />
But, while increasing the number<br />
of mental health professionals in<br />
south Arkansas is the ideal solution<br />
4 WINTER <strong>2022</strong><br />
to the problem, it just wasn’t<br />
realistic in the short term.<br />
“We asked ourselves, what can we<br />
do right now, without mental health<br />
professionals in place?” said Mellie.<br />
“What are some best practices that<br />
we can implement right now?”<br />
The answer: Mental Health First Aid.<br />
“Mental health first aid was the<br />
thing that was most affordable,”<br />
said Mellie. “The thing that would<br />
have an immediate impact.”<br />
Mental health first aid trains people to<br />
be first responders to mental health<br />
issues. Training in mental health<br />
first aid teaches people to identify,<br />
understand and respond to signs of<br />
mental illness and substance use<br />
disorders. The training provides the<br />
skills necessary to provide initial<br />
support to someone who may<br />
be developing a mental health or<br />
substance use problem and help<br />
connect them to the appropriate care.<br />
To get the ball rolling, Mellie<br />
applied for a $115,000 grant from<br />
the Blue & You Foundation for a<br />
Healthier Arkansas to launch youth<br />
mental health first aid training<br />
throughout southern Arkansas.<br />
The grant was approved.<br />
“The foundation had previously<br />
funded a grant to promote<br />
mental health first aid within<br />
the organization requesting the<br />
funding,” said Rebecca Pittillo,<br />
executive director of the Blue & You<br />
Foundation. “But this grant was<br />
unique because ARHP was taking<br />
the training to school districts<br />
within the state and impacting many<br />
communities quickly. We understood<br />
the great need for mental health<br />
awareness and were pleased to have<br />
the opportunity to fund this effort.”<br />
The ARHP began a series of training<br />
sessions to equip teachers and<br />
healthcare professionals in mental<br />
health first aid. ARHP serves 18<br />
school districts and 14 hospitals<br />
in the southeastern corner of<br />
Arkansas. In one year’s time – from<br />
June 2020 through July 2021 –<br />
they were able to train 537 people<br />
in mental health first aid. And the<br />
effort has already shown results.<br />
“We have had some teachers tell<br />
us they’ve had students in class<br />
exhibiting troubling behavior. And,<br />
because of this training, they were<br />
able to recognize those students<br />
were in crisis and were able to get<br />
them help,” said Amanda. “Others<br />
have been able to identify issues in<br />
their classrooms and resolve them<br />
before they escalated.”<br />
According to the National Institute<br />
of Mental Health, approximately<br />
1 in 5 adults in the United States<br />
lives with a mental illness.
“Most organizations are<br />
reactive when it comes to<br />
mental health,” said Amanda.<br />
“Something happens. We rush<br />
in and ask, ‘What do we do<br />
now?’ This mental health first<br />
aid training empowers people to<br />
be proactive. To see problems<br />
ahead of time and get people the<br />
help they need on the front end.”<br />
“The best part of our relationship<br />
with the Blue & You Foundation<br />
is being able to pivot when we<br />
need to,” said Amanda. “The<br />
flexibility to adjust our plans<br />
when necessary is essential.”<br />
Mellie agreed. “It’s great the<br />
foundation can provide funding,<br />
but they have their thumb on the<br />
pulse of communities,” she said.<br />
“They know what’s going on. You<br />
can call them and ask, ‘What do<br />
you think we need to do here?’<br />
It’s more of a partnership.”<br />
Already the results have<br />
been impressive.<br />
“The Blue & You Foundation<br />
couldn’t be more pleased with<br />
the results of this grant and the<br />
changes that are taking place<br />
because of ARHP’s vision of<br />
mental health first aid across<br />
southeast Arkansas,” said<br />
Rebecca.<br />
Not only have there been actual<br />
cases of people getting the help<br />
they needed when they needed<br />
it, but Mellie points out the<br />
stigma that comes with mental<br />
health issues is beginning to be<br />
erased. “This program helps do<br />
that,” she said.<br />
“It helps heal, too,” said Amanda.<br />
“I’m satisfied with how well this<br />
is working. But there is so much<br />
more to do.”<br />
Thanks to a new grant from the<br />
Blue & You Foundation for the<br />
new Mental Health Community<br />
Expansion Project, they can<br />
begin doing more.<br />
“We are even more pleased<br />
that they will be expanding this<br />
work in <strong>2022</strong> to reach at least<br />
26,800 youth with much-needed<br />
mental and behavioral health<br />
interventions,” said Rebecca.<br />
The new project will increase<br />
access to mental and behavioral<br />
health resources and services<br />
for youth ages 12-18. It will<br />
expand the availability of youth<br />
mental health first aid, launch<br />
mental health awareness and<br />
suicide prevention training and<br />
will train at least 5,200 people to<br />
reach 25,800 youth with needed<br />
mental and behavioral health<br />
interventions.<br />
Said Rebecca, “The Mental<br />
Health Community Expansion<br />
Project is one of 41 grants<br />
awarded by the foundation in<br />
<strong>2022</strong> and one of eight grants<br />
that focus specifically on<br />
behavioral health.”<br />
Mellie Bridewell<br />
(seated) visits<br />
with Amanda<br />
Kuttenkuler about<br />
the program.<br />
Headquarters:<br />
Lake Village, AR<br />
Mission:<br />
To create and implement<br />
sustainable community solutions<br />
to improve the healthcare<br />
infrastructure and strengthen<br />
healthcare delivery<br />
in south Arkansas.<br />
Vision:<br />
To ensure everyone has access<br />
to quality and localized healthcare<br />
throughout south Arkansas<br />
through collaborative efforts.<br />
What we believe:<br />
We believe that residents across<br />
south Arkansas should not live<br />
shorter or poorer quality lives largely<br />
because they live in a rural setting.<br />
We envision a future where all south<br />
Arkansas residents can enjoy access<br />
to excellent healthcare providers and<br />
experience quality health outcomes<br />
no matter their socioeconomic<br />
background, gender, ethnicity and<br />
where they choose to live and work.<br />
WINTER <strong>2022</strong> 5
High prescription<br />
prices almost<br />
ended Bob’s life<br />
Learn how Arkansas<br />
Blue Cross found ways<br />
to cover his costs<br />
Bob * was tired of fighting. He had been<br />
struggling with hepatitis C and could not<br />
afford a $6,500 copayment each month for<br />
his treatment. He was ready to give up but<br />
feared leaving his teenage daughter behind.<br />
As a single parent, his resources were limited.<br />
He didn’t know where to go or who to turn to for help.<br />
“I had decided to accept it,” he said. “I had already failed<br />
several other attempts at fighting this, and nothing ever<br />
worked. I realized that this was it; this was my life. You<br />
never know when your end is going to be. I began to<br />
accept it. I talked to my daughter about it. She just broke<br />
down and said, ‘you cannot leave me now. You’ve got to<br />
try at least everything you can.’”<br />
Bob, a BlueAdvantage Administrators of Arkansas member<br />
was approved for hepatitis C medication. However, the<br />
$6,500 monthly copayment was impossible for him to pay,<br />
as it would be for most people.<br />
Bob’s case manager, Pamela Martin, R.N., reached out to<br />
the drug manufacturer and told them about his financial<br />
situation. They provided a discount card and lowered his<br />
out-of-pocket cost to $1,000 a month.<br />
Although Bob was ecstatic to get the discount card,<br />
$1,000 a month for treatment was still a lot of money,<br />
and he could barely come up with $400 toward his next<br />
month’s treatment. Unfortunately, to his surprise, the<br />
second month’s medication’s discount was even less.<br />
The third month’s medication discount was virtually<br />
nothing. Bob didn’t know the limit on the discount card<br />
and said he would have to make other arrangements.<br />
Pamela’s concern for Bob grew as she learned of his<br />
exhausted resources. She was determined to find a<br />
way to help him.<br />
She reached out to Arkansas Blue Cross and Blue<br />
Shield’s Pharmacy department. Maria Pipkin Eason,<br />
a manager, and Karen Bragg, a supervisor, worked<br />
From left: Pamela Martin, Karen Bragg and Maria Pipkin Eason<br />
with pharmacy vendor Caremark to locate additional<br />
funding for Bob. They were able to identify a copayment<br />
assistance foundation that gave Bob a grant to pay for<br />
the remainder of his hepatitis C medication, along with<br />
the additional treatment prescribed by his doctor.<br />
Pamela called Bob with the good news, and he asked her<br />
to hug everyone involved! So far, Bob has been getting<br />
better results than he’s ever had with any other treatment.<br />
Struggling with prescription costs?<br />
“I want every member to know that Arkansas Blue Cross is<br />
more than just an insurance company,” Pamela said. “We care<br />
enough to go the extra step to find resources and funding.”<br />
Prescription coverage can be hard to understand. Pamela<br />
built a relationship with Bob to communicate with him at<br />
every step of the process.<br />
“Case managers are the link between our members<br />
and their healthcare providers,” Pamela said. “Having<br />
someone as an advocate who has access to pharmacies,<br />
pharmacists and education equips our members with<br />
knowledge and resources.”<br />
Bob knows the significance of the coordination and<br />
assistance he received from the Arkansas Blue Cross team.<br />
“I’d like to thank my support group of Arkansas Blue<br />
Cross. Y’all helped save my life,” said Bob.<br />
If you need help paying for your prescription medications,<br />
call the number on the back of your member ID card<br />
and talk with one of our friendly customer service<br />
representatives. We will do what we can to help.<br />
6 WINTER <strong>2022</strong><br />
*<br />
Not his real name.
Start<br />
Strong<br />
<strong>2022</strong> Blue & You Fitness Challenge<br />
is a great way to begin the year<br />
What is the Blue & You Fitness Challenge?<br />
The Blue & You Fitness Challenge is a free annual fitness competition<br />
held from March 1 through May 31. By logging your activity, you can earn<br />
contest recognition and rewards. Companies and organizations throughout<br />
the country participate in the Challenge as part of their wellness programs.<br />
You can form a team (two or more people) with your family and friends! Use<br />
the contest to focus on fitness goals, infuse new energy into your exercise<br />
routines, remain connected and have fun!<br />
Last year, the Blue & You Fitness Challenge experienced a complete<br />
makeover to create a new and improved user experience! We teamed up<br />
with Wellable, an interactive health-and-wellness platform, to easily track<br />
activity and measure standings. Our new platform includes:<br />
Ability to sync with wearables, like an Apple Watch or FitBit<br />
Size categories limited to small, medium and large (based on a team’s<br />
estimated number of participants, not the size of the company)<br />
Automated support from Wellable, in the form of reminders,<br />
troubleshooting and team maintenance<br />
Mobile app (for Apple & Android)<br />
Ability to earn additional points for engaging in healthy behaviors,<br />
like drinking eight glasses of water per day, sleeping 7 hours a night,<br />
meditating, etc.<br />
Ability to view team standings in real-time<br />
DEADLINES:<br />
January 24, <strong>2022</strong><br />
deadline for group registration<br />
March 1<br />
Challenge begins<br />
May 31<br />
Challenge ends<br />
For more<br />
information, call<br />
800-686-2609<br />
or use the QR code<br />
to register.<br />
<strong>2022</strong> is going to be a great year for the Fitness Challenge!<br />
Strong starts here!<br />
Register for the Blue & You Fitness Challenge at<br />
form.jotform.com/bluecares/<strong>2022</strong>-byfc<br />
The Blue & You Fitness Challenge, founded in 2004, is hosted by Arkansas Blue Cross and Blue<br />
Shield, the Arkansas Department of Health and the Arkansas Department of Human Services.<br />
WINTER <strong>2022</strong> 7
Blue & You Foundation awards more than<br />
$<br />
3.36 million in grants to improve health<br />
In November, the Blue & You Foundation for a Healthier Arkansas announced 41 initiatives<br />
receiving grants totaling $3,360,327, that will directly impact 71 of Arkansas’ 75 counties.<br />
The Blue & You Foundation is a charitable foundation established and funded by Arkansas<br />
Blue Cross and Blue Shield to promote better health in the Natural State.<br />
“Eleven of our grants this year focus on education for medical professionals and eight grants address behavioral<br />
health, issues that are extremely important to the health of all Arkansans,” said Rebecca Pittillo, executive director of<br />
the Blue & You Foundation. “Ten of our grants will reach Arkansans statewide. And because we are very aware of the<br />
need for more health equity within our state, eight of our grants focus specifically on minority populations.”<br />
Since 2001, the Blue & You Foundation has awarded more than $45 million to nonprofits and governmental agencies in<br />
all 75 counties. Applications for the next round of large grants will be accepted April 15 through July 15, <strong>2022</strong>. Grants<br />
will range from $5,000 to $150,000. Blue & You Foundation training sessions for grant writing will be offered in March<br />
<strong>2022</strong>. For more information on trainings and the Blue & You grant process, visit blueandyoufoundationarkansas.org.<br />
The <strong>2022</strong> grant recipients are:<br />
ARKANSAS CHILDREN’S FOUNDATION, Little Rock<br />
($150,000) – to reduce infant mortality by educating parents<br />
on safety risks.<br />
ARKANSAS FOODBANK, Little Rock ($89,908) – to help<br />
community members become more food secure by educating<br />
them on healthy eating, becoming self-sufficient and by<br />
providing support.<br />
ARKANSAS HARM REDUCTION PROJECT, Little Rock<br />
($143,300) – to prevent opioid overdoses and deaths by<br />
distributing Naloxone to those battling addiction, their<br />
families and others in the community.<br />
ARKANSAS RURAL HEALTH PARTNERSHIP, Lake Village<br />
($150,000) – to increase mental health resources for 12- to<br />
18-year-olds living in rural parts of the state. At least 5,200<br />
people will be trained to provide mental health and suicide<br />
prevention assistance.<br />
ARKANSAS STATE UNIVERSITY SYSTEM FOUNDATION,<br />
Jonesboro ($128,720) – to provide mentoring, cohort building<br />
and financial assistance to underrepresented minority<br />
students in premedical curriculum.<br />
ARKANSAS STEM COALITION, Little Rock ($51,758) –<br />
to educate eighth-grade students on health science careers.<br />
ARKANSAS SYMPHONY ORCHESTRA, Little Rock ($5,000)<br />
– to provide music engagement for patients at Arkansas<br />
Children’s Hospital.<br />
ARKANSAS TECH UNIVERSITY FOUNDATION, Russellville<br />
($68,549) – to install pediatric simulation equipment in the<br />
Arkansas Tech University/Ozark Campus Simulation Lab.<br />
ASHDOWN COMMUNITY FOUNDATION, INC., Ashdown ($150,000)<br />
– to construct the Ashdown City Park Inclusive Playground.<br />
BAPTIST HEALTH FOUNDATION, Little Rock ($115,000)<br />
– to begin a Patient Care Tech Program at the Baptist Health<br />
College in Little Rock.<br />
BLACK RIVER TECHNICAL COLLEGE, Pocahontas ($149,483)<br />
– to construct a one-and-a-half mile walking trail connecting<br />
the campus.<br />
CHERRY VALLEY FOOD PANTRY, Cherry Valley ($5,000)<br />
– to purchase food for 70 to 80 families each week.<br />
CITY OF COTTER, Cotter ($31,224) – to establish the Cotter Warrior<br />
Park Family Health Fit Zone, providing outdoor equipment for<br />
children and teens and therapeutic and fitness classes for all ages.<br />
CITY OF HAMPTON, Hampton ($6,000) – to purchase playground<br />
equipment for children in the city of Hampton and Calhoun County.<br />
CITY OF LITTLE ROCK, Little Rock ($150,000) – to create a<br />
behavioral health initiative at Watson Elementary and enhance<br />
behavioral health outreach to families in four community schools.<br />
DONALD W. REYNOLDS CANCER SUPPORT HOUSE,<br />
Fort Smith ($5,000) – to ease transportation barriers for<br />
disadvantaged cancer patients needing treatment.<br />
GARLAND COUNTY IMAGINATION LIBRARY, Mount Ida ($8,000)<br />
– to purchase a book each month for 320 children up to 5 years old.<br />
GIRL SCOUTS – Diamonds, Little Rock ($11,340) – to create<br />
a STEM program within Girl Scouts, to encourage careers<br />
improving the health of people in their communities.<br />
GOODWILL INDUSTRIES OF ARKANSAS, Little Rock ($25,000)<br />
– to provide training for 30 students seeking Clinical Medical<br />
Assistant certification.<br />
HISPANIC COMMUNITY SERVICES INC., Jonesboro ($39,633)<br />
– to offer bilingual classes and host discussions on a variety of<br />
mental health topics and wrap-around services.<br />
IMMERSE ARKANSAS, Little Rock ($50,000) – to provide<br />
recreational therapy to about 200 youth in or emerging from<br />
the foster care system, funding equipment, activities and staff.<br />
IVY CENTER FOR EDUCATION, Pine Bluff ($35,384) –<br />
to increase the number of qualified African American males<br />
in medical doctor programs by exposing them to the medical<br />
sciences before they enter college.<br />
8 WINTER <strong>2022</strong>
JEFFERSON REGIONAL MEDICAL CENTER, Pine Bluff<br />
($149,201) – to replace simulation equipment used to<br />
train healthcare workers at Jefferson School of Nursing.<br />
JEFFERSON REGIONAL MEDICAL CENTER FOUNDATION,<br />
Pine Bluff ($150,000) – for a cancer screening program<br />
for an underserved population to reduce cancer deaths in<br />
Southeast Arkansas using synergistic relationships and<br />
resources.<br />
LITTLE ROCK SCHOOL DISTRICT, Little Rock ($8,250)<br />
– to establish a school garden at Mann Magnet Middle<br />
School which will educate students on the benefits of<br />
nutritious foods.<br />
NEIGHBOR TO NEIGHBOR, Pine Bluff ($36,000)<br />
– to purchase a walk-in freezer for its food pantry.<br />
NORTH ARKANSAS COLLEGE, Harrison ($149,554)<br />
– to purchase obstetric simulation equipment and cardiac<br />
monitor/defibrillator training for EMTs and paramedics.<br />
NORTHWEST ARKANSAS CRISIS INTERVENTION CENTER,<br />
Springdale ($5,000) – to purchase a text messaging<br />
service to serve as a crisis line for those in behavioral<br />
health emergencies.<br />
NORTHWEST ARKANSAS WOMEN’S SHELTER,<br />
Rogers ($25,000) – to purchase food for the shelter’s<br />
food pantry and provide pantry start-up kits for shelter<br />
residents moving into their own homes.<br />
OUACHITA BAPTIST UNIVERSITY, Arkadelphia<br />
($131,000) – to develop a skills laboratory and<br />
simulation center at Ouachita Baptist University<br />
for its nursing program.<br />
OZARK MISSION PROJECT, Little Rock ($25,000)<br />
– to construct wheelchair ramps, porches and stairs<br />
for low-income, veteran and disabled residents.<br />
PANGBURN PUBLIC SCHOOLS, Pangburn ($38,334)<br />
– to construct three playgrounds for elementary students.<br />
RONALD MCDONALD HOUSE, Little Rock ($62,450)<br />
– to provide meals for families staying at the Ronald<br />
McDonald House with a critically ill child.<br />
SHARE FOUNDATION, El Dorado ($150,000)<br />
– to expand palliative care services in Union, Ouachita,<br />
Calhoun, Columbia and Bradley counties.<br />
SOUTHERN ARKANSAS UNIVERSITY TECH, East<br />
Camden ($148,758) – to provide phlebotomy and<br />
pharmacy tech training to underrepresented, minority<br />
and marginalized persons in the Delta Region.<br />
UNION RESCUE MISSION, Little Rock ($147,200)<br />
– to provide temporary housing and mental health<br />
support for shelter residents as they transition out<br />
of Nehemiah House and Dorcas House.<br />
UNITED WAY OF NORTHWEST ARKANSAS, INC.,<br />
Lowell ($56,400) – to expand the Arkansas 211 program,<br />
allowing Latinx populations to receive linguistically<br />
appropriate information on food assistance, behavioral<br />
health services and other community programs.<br />
UNIVERSITY OF ARKANSAS AT MONTICELLO,<br />
Monticello ($150,000) – to upgrade the newborn, infant,<br />
adult and geriatric manikins to train nursing students.<br />
UNIVERSITY OF ARKANSAS FORT SMITH FOUNDATION,<br />
Fort Smith ($150,000) – to replace outdated equipment<br />
at the UAFS Dental Hygiene Clinic.<br />
UNIVERSITY OF ARKANSAS FOUNDATION, INC., (UAMS),<br />
Little Rock ($62,000) – to create a behavioral health<br />
integration training curriculum for social workers,<br />
psychologists and other mental health professionals at<br />
19 UAMS primary care clinics.<br />
UNIVERSITY OF ARKANSAS FOUNDATION, INC., (UAMS),<br />
Little Rock ($147,791) – to train 18 family medicine<br />
residencies in Medication for Opioid Use Disorder (MOUD),<br />
making it more widely available for underserved populations.<br />
Grants Impacting Arkansas<br />
Number of grants<br />
impacting county<br />
7-10<br />
4-6<br />
1-3<br />
0<br />
WINTER <strong>2022</strong> 9
Understanding<br />
health disparities<br />
to chart a course for a<br />
healthier tomorrow<br />
by Creshelle R. Nash, M.D., MPH<br />
Medical Director for Health Equity and Public Programs<br />
As we look back on 2021, we reflect on our<br />
experiences of the past 12 months and look<br />
ahead to what the new year may bring. When<br />
we did this last year, most of us reflected on the<br />
trauma and disruption brought by the COVID-19 pandemic,<br />
financial uncertainty and social unrest. We sat with the<br />
pain of loss, the loneliness of isolation and yet held hope<br />
for a stronger, healthier year ahead. It’s heartening to<br />
see that, for many, 2021 turned out to be a brighter year<br />
than 2020. However, the persistently poor experiences<br />
of minority communities reinforce the need to address<br />
health equity and disparities that disproportionately<br />
affect those with the fewest resources to overcome them.<br />
Many Americans will face <strong>2022</strong> in positions of greater<br />
uncertainty and will need greater support. Beyond the<br />
ongoing risks of the COVID-19 virus, a secondary crisis<br />
– behavioral health – has emerged from untreated<br />
health issues. Communities of color and low-income<br />
populations are being hit the hardest and at greater<br />
rates, further exacerbating disparities and inequities<br />
in our nation.<br />
Behavioral health issues have been on the rise in<br />
America for some time. Yet the past 18 months has<br />
brought to light a crisis of mental health and substance<br />
use that is putting the lives of millions of Americans<br />
at risk. One of the most striking issues is the dramatic<br />
increase of fatal drug overdoses. According to the<br />
Centers for Disease Control and Prevention (CDC), drug<br />
overdose deaths increased 30.8% nationwide between<br />
March 2020 and March 2021. 1<br />
While this crisis is one hitting communities across the<br />
nation, some populations experience even greater risk.<br />
States with lower income and lower access to resources<br />
experienced far greater overdose deaths, including a<br />
57% increase in Kentucky and a 62% increase in West<br />
Virginia. Moreover, communities of color experience the<br />
risk at greater levels. Research released in November<br />
2021 by the National Institute on Drug Abuse found that<br />
the overdose rate among Black people alone increased<br />
by 38% from 2018 to 2019. While researchers continue<br />
to explore the disparity among Black Americans, many<br />
anticipate the variation to continue or even worsen<br />
unless there is coordinated and intentional action.<br />
10 WINTER <strong>2022</strong>
We can not truly be healthy until<br />
we acknowledge the disparities<br />
and find ways to take collective<br />
action to overcome inequity.<br />
-- Creshelle R. Nash, M.D., MPH<br />
Medical Director for Health Equity and Public Programs<br />
Another stark disparity can be found in rates of suicide,<br />
which recent CDC data show have dropped overall in<br />
the United States, yet increased for American Indians<br />
and Alaska Natives, Black Americans and Hispanic<br />
Americans. 2 Yet another is maternal health, where<br />
Black women are three times more likely to die from<br />
a pregnancy-related cause than White women, again<br />
based on CDC data. 3<br />
As we welcome a new year with renewed hope for a<br />
brighter, healthier future, it is important that, no matter<br />
our background and personal circumstances, we<br />
acknowledge that our experience with health can differ<br />
greatly based on our race, ethnicity, geography and<br />
other factors. We will continue to strive for personal<br />
health, and that of our community, yet we can not truly<br />
be healthy until we acknowledge the disparities and find<br />
ways to take collective action to overcome inequity.<br />
Awareness is the first step, and now, with the crisis<br />
we have faced since the pandemic began, there is<br />
opportunity for meaningful system-level change which<br />
can only be done by working with local partners and<br />
diverse organizations. In my own state of Arkansas, I see<br />
collaboration leading to action. From trauma intervention<br />
in schools, to increased resources for addiction and<br />
suicide prevention, to academic partners increasing<br />
access to care professionals in rural and minority<br />
communities. Through collective action and engagement,<br />
I believe we can achieve a healthier future for all.<br />
COVID-19 Updates<br />
To find out the latest news on the COVID-19<br />
pandemic, go to Vaccinate the Natural State<br />
(vaccinatethenaturalstate.com) and our<br />
<strong>Blueprint</strong> news hub (hub.arkansasbluecross.com).<br />
1<br />
cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm<br />
2<br />
nbcnews.com/health/mental-health/suicide-rates-declined-2020-not-groups-cdc-report-shows-rcna4363<br />
3<br />
cdc.gov/healthequity/features/maternal-mortality/index.html<br />
WINTER <strong>2022</strong> 11
PRESS &<br />
PAY<br />
ArkansasBlue welcome<br />
center kiosks make it<br />
easy to settle your bill<br />
W<br />
hether you like using a card,<br />
check or cash, or whether your<br />
native language is English, Spanish,<br />
Marshallese or Vietnamese,<br />
Arkansas Blue Cross and Blue Shield<br />
is working to eliminate barriers for<br />
our members in our ArkansasBlue<br />
welcome centers.<br />
Several years ago, iPad payment<br />
kiosks were installed at our welcome<br />
centers, where members could pay<br />
by card or check. As technology<br />
evolved, other options became<br />
available for secure card, check<br />
and cash payments. The journey to<br />
finding a new solution for Arkansas<br />
Blue Cross members started with<br />
Jeremy Brown, manager of Regional<br />
Retail Sales and Operations for the<br />
South Central Region.<br />
“I’m inquisitive by nature,” Jeremy<br />
said. “I try to view things through the<br />
eyes of the customer, so I often ask<br />
how we can improve our members’<br />
experiences. When I pay my bills,<br />
I want the process to be painless, so<br />
we should make our members’ billpaying<br />
experience easy as well.”<br />
Arkansas Blue Cross found a<br />
solution that could accept and<br />
process all forms of payment —<br />
quickly and securely. Customers<br />
can swipe a card, scan a check or<br />
pay by cash, eliminating barriers for<br />
members who may not have a card or<br />
check option. And the kiosks provide<br />
instructions in four languages.<br />
By automating these procedures,<br />
payments are processed faster, and<br />
members’ accounts are credited<br />
more quickly. Most members can<br />
also set up autopayments, pay online<br />
through our website, use the My<br />
<strong>Blueprint</strong> app, pay by telephone or<br />
send their payments using a check or<br />
money order through the mail.<br />
“Our members need payment options<br />
so they can pay their bills and<br />
avoid their coverage lapsing,” said<br />
Vicki Greer, manager of Financial<br />
Information Systems. “If a member’s<br />
coverage lapses, they may have<br />
to wait until the next year’s open<br />
enrollment. That can be devastating.”<br />
The upgraded kiosks were installed<br />
in 2020 when the welcome centers<br />
were closed, due to COVID-19 safety<br />
precautions. Members dropped<br />
payments in a mailbox outside the<br />
stores, and employees used the<br />
kiosks to process the payments.<br />
The innovation isn’t stopping there,<br />
however. Members will soon see<br />
QR codes on their invoices.<br />
Scanning the QR code at a payment<br />
kiosk will automatically bring up<br />
the member’s information,<br />
speeding up the transaction.<br />
“We’ll continue to find customercentric<br />
solutions,” Jeremy said.<br />
“We want our members to know<br />
at every step that they are valued<br />
and our company’s philosophy,<br />
operations and ideas keep our<br />
fellow Arkansans in mind.”<br />
12 WINTER <strong>2022</strong>
New provider directory helps<br />
you find care, no matter where<br />
The doctor is in … and so are treatment cost estimates and more!<br />
You want to find the best healthcare for your family, but you also want to<br />
know how much that care may cost. Thanks to our updated Find Care and<br />
Costs tool, you can search for in-network doctors anywhere in the United<br />
States and get estimates for more than 1,600 medical treatments.<br />
If you are an Arkansas Blue Cross and Blue Shield, Health Advantage or<br />
BlueAdvantage Administrators of Arkansas member (not on a Medicare<br />
plan), you can also see a treatment timeline based on historical claims<br />
data for other members in a similar health plan. Treatment timelines<br />
provide general estimates and time frames for multi-stage procedures<br />
such as hip or knee replacements.<br />
You can also use the new tool to add frequently seen providers to your<br />
“favorites” list to find them easily in the future.<br />
Want to know more about a doctor or other medical provider? You can read<br />
provider reviews from other Blue members, whether you are a member or<br />
not. Our members can also write reviews in My <strong>Blueprint</strong> for providers they<br />
have seen throughout the United States. If you live in Arkansas, you can also<br />
use the tool to select a primary care provider.<br />
You can start using the new provider directory by going to one of our<br />
websites or by using the My <strong>Blueprint</strong> mobile app.<br />
More improvements are coming!<br />
1<br />
Cost estimates are only available through My <strong>Blueprint</strong> and for medical plans for<br />
members under age 65 (Medicare Advantage, Medicare supplement, dental and<br />
vision plans are excluded).<br />
WINTER <strong>2022</strong> 13
Your rights and protections<br />
against surprise medical bills<br />
Life is full of surprises. Some are good. Others ... not so much.<br />
When it comes to healthcare costs, you have rights that<br />
protect you from surprise billing, which also is known as<br />
“balance billing.”<br />
What is “balance billing” (sometimes called<br />
“surprise billing”)?<br />
When you see a doctor or other healthcare provider,<br />
you may owe certain out-of-pocket costs, such as a<br />
copayment, coinsurance and/or a deductible. You may<br />
have other costs or have to pay the entire bill if you see<br />
a provider or visit a healthcare facility that isn’t in your<br />
health plan’s network.<br />
“Out-of-network” describes providers and facilities that<br />
haven’t signed a contract with your health plan. Out-ofnetwork<br />
providers may be permitted to bill you for the<br />
difference between what your plan agreed to pay and the<br />
full amount charged for a service. This is called “balance<br />
billing.” This amount often is more than in-network costs<br />
for the same service and might not count toward your<br />
annual out-of-pocket limit.<br />
“Surprise billing” is an unexpected balance bill. This<br />
can happen when you can’t control who is involved in<br />
your care – like when you have an emergency or when<br />
you schedule a visit at an in-network facility but are<br />
unexpectedly treated by an out-of-network provider.<br />
You are protected from balance billing for:<br />
• Emergency services – If you have an emergency medical<br />
condition and get emergency services from an out-ofnetwork<br />
provider or facility, the most the provider or<br />
facility may bill you is your plan’s in-network cost-sharing<br />
amount (such as copayments and coinsurance). You<br />
can’t be balance billed for these emergency services.<br />
This includes services you may get after you’re in stable<br />
condition, unless you give written consent and give up<br />
your protections not to be balanced billed for these poststabilization<br />
services.<br />
• Certain services at an in-network hospital or ambulatory<br />
surgical center – Services provided at an in-network<br />
hospital or ambulatory surgical center for emergency<br />
medicine, anesthesia, pathology, radiology, laboratory,<br />
neonatology and services by assistant surgeons,<br />
hospitalists and intensivists cannot balance bill you nor<br />
ask you to give up your protections to be balanced billed.<br />
In these cases, the most the providers may bill you is your<br />
plan’s in-network cost-sharing amount.<br />
If you get other services at these in-network facilities,<br />
out-of-network providers can’t balance bill you, unless<br />
you give written consent and give up your protections.<br />
You’re never required to give up your protections from<br />
balance billing. You also aren’t required to get care outof-network.<br />
You can choose a provider or facility in your<br />
plan’s network.<br />
When balance billing isn’t allowed, you also<br />
have the following protections:<br />
• You are only responsible for paying your share of the<br />
cost (like the copayments, coinsurance and deductibles<br />
that you would pay if the provider or facility were<br />
in-network). Your health plan will pay out-of-network<br />
providers and facilities directly.<br />
• Your health plan generally must:<br />
– Cover emergency services without requiring<br />
you to get approval for services in advance<br />
(prior authorization).<br />
– Cover emergency services by out-ofnetwork<br />
providers.<br />
– Base what you owe the provider or facility<br />
(cost-sharing) on what it would pay an in-network<br />
provider or facility and show that amount in your<br />
explanation of benefits.<br />
– Count any amount you pay for emergency services or<br />
out-of-network services toward your deductible and<br />
out-of-pocket limit.<br />
If you believe you’ve been wrongly billed, you may<br />
contact us at the customer service phone number<br />
on the back of your health plan member ID card.<br />
14 WINTER <strong>2022</strong>
· View plan information at a glance<br />
· Access your claims history<br />
· Track your claim status<br />
· View and transmit your ID cards<br />
· Find in-network providers and add to favorites<br />
· Access your personal health record<br />
· And more!<br />
<strong>Blueprint</strong> Portal -<br />
A new and improved web and mobile app<br />
experience for our members.<br />
WINTER <strong>2022</strong><br />
EDITOR<br />
Jen Bridgeman<br />
Editor@arkbluecross.com<br />
DESIGNER<br />
Ryan Kravitz<br />
PHOTOGRAPHER<br />
Chip Bayer<br />
CONTRIBUTORS<br />
Roza Bost<br />
Katie Eisenhower<br />
Suzi Parker<br />
Greg Russell<br />
Marie Trotter<br />
VICE PRESIDENT<br />
of CORPORATE<br />
MARKETING<br />
Alison Melson<br />
MEDICAL<br />
REVIEWERS<br />
Mark Jansen, M.D.,<br />
vice president and<br />
chief medical officer<br />
Creshelle Nash,<br />
M.D., MPH<br />
medical director<br />
for Health Equity<br />
and Public Programs<br />
WINTER <strong>2022</strong> 15
Race Day Rollbacks<br />
Save money on your next race-day adventure<br />
Arkansas Blue Cross is committed to<br />
improving the health and wellness of our<br />
members, friends and neighbors. We’re also<br />
committed to saving you money on healthy<br />
living. Race Day Rollbacks is our exclusive<br />
program to save you a percentage of your<br />
race entry fee -- just by being our member.<br />
Events<br />
• January 22 – David’s Trail Endurance Run, Mountain Home | 50k, 25k, 7k | Save 20%<br />
• January 22 – Frozen Toes, Fayetteville | 15k, 5k | Save $5<br />
• March 5 – Ozark Highlands, Norfolk | 50k, 35k | Save 20%<br />
• March 12 – Endure the Dirt, Stuttgart | Competitive and non competitive 5ks | Save $10<br />
• March 18-20 – Three Days of Syllamo, Blanchard Springs | 50k, 50mile, 20k | Save 20%<br />
Registration<br />
is easy<br />
1) Go to arkbluecross.com/race-day-rollbacks<br />
2) Click on an event to get a discount code<br />
3) Go to the event website, fill out the registration form and enter the discount<br />
code at checkout<br />
4) Start training for your event (with a little extra money in your pocket)<br />
00002.03.01-0122<br />
Good luck and see you out there! Terms and conditions may apply.